Studnicki James, Berndt Donald J, Luther Stephen L, Fisher John W, van Caulil Karen, Brennan Margaret J, Martinez Yolanda G, Clarke Pete
Center for Health Outcomes Research, Health Sciences Center and College of Public Health, University of South Florida, 13201 Bruce B. Downs Boulevard, Tampa, FL 33612, USA.
J Public Health Manag Pract. 2005 Jul-Aug;11(4):326-32. doi: 10.1097/00124784-200507000-00011.
To assess the health status of the Hispanic population of Orange County, Florida.
The methodology utilized secondary data for 66 ethnically identified indicators in a comparative framework applied for a 5-year period (1997-2001).
Orange County Hispanics are younger with lower per capita income than their Florida peers, less likely to be White, and much more likely to be of Puerto Rican origin. Relative to the Hispanic populations in the selected peer counties and statewide, Orange County Hispanics have higher age-adjusted death rates for a majority of disease categories and conditions, such as breast, lung, and prostate cancers; chronic liver disease and cirrhosis; diabetes mellitus; pneumonia and influenza; stroke; acquired immunodeficiency syndrome; motor vehicle accidents; and infant, neonatal, and child mortality. Orange County Hispanics did better in comparison to Orange non-Hispanics, with lower age-adjusted death rates for major causes of death such as heart disease, cancer, and stroke. However, for many indicators, the 5-year trends for Orange County Hispanics are moving in an unfavorable direction in contrast to the trends for non-Hispanics, which are either stable or improving.
Comparative assessments of Hispanic populations using secondary data enable the development of a comprehensive health status profile. However, this approach is currently constrained by the limited number of ethnically identified indicators and, especially for Hispanics, problems in the accuracy and consistency of the assignment to racial categories and subsequent reporting.
评估佛罗里达州奥兰治县西班牙裔人口的健康状况。
该方法在一个为期5年（1997 - 2001年）的比较框架中使用了66个按种族划分的指标的二手数据。
奥兰治县的西班牙裔人口比佛罗里达州的同龄人更年轻，人均收入更低，白人比例更低，波多黎各裔的可能性更高。相对于选定的同类县和全州的西班牙裔人口，奥兰治县的西班牙裔在大多数疾病类别和情况（如乳腺癌、肺癌和前列腺癌；慢性肝病和肝硬化；糖尿病；肺炎和流感；中风；获得性免疫缺陷综合征；机动车事故；以及婴儿、新生儿和儿童死亡率）方面的年龄调整死亡率更高。与奥兰治县的非西班牙裔相比，奥兰治县的西班牙裔表现较好，在心脏病、癌症和中风等主要死因方面的年龄调整死亡率较低。然而，对于许多指标而言，与非西班牙裔稳定或改善的趋势相反，奥兰治县西班牙裔的5年趋势正朝着不利方向发展。
使用二手数据对西班牙裔人口进行比较评估有助于建立全面的健康状况概况。然而，这种方法目前受到按种族划分的指标数量有限的限制，特别是对于西班牙裔而言，在种族分类和后续报告的准确性和一致性方面存在问题。
